Organization Active NPI

XL Care Inc

  • Home Health Agency
  • Woodland Hills, CA
National Provider Identifier
1588655112
Registry record updated Oct 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
980001478 Issued in CA
Legal business name
XL CARE INC
Practice address
20350 Ventura Blvd Ste 140
Woodland Hills, CA 91364-2484
Phone
(818) 785-2944
Fax
(818) 785-2956
NPI assigned
Nov 2, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Dmitrtiy Grinberg
Title
Cfo
Phone
(818) 785-2944

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 980001478 CA Primary

Addresses

Primary practice location

20350 Ventura Blvd Ste 140
Woodland Hills, CA 91364-2484

Mailing address

20350 Ventura Blvd Ste 140
Woodland Hills, CA 91364-2484
Phone (818) 785-2944

Other identifiers 3

IdentifierTypeStateIssuer
HHA08236FMedicaidCA
980001478OtherCAHOME HEALTH AGENCY LICENS
HH980002368OtherCASTATE FACILITY ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20021029000012 CA Part A Provider - Home Health Agency 5597673020 Practice locations: Woodland Hills, CA

Home health agency certification: CCN 058236

Legal name
XL CARE INC
Doing business as
X L CARE, INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jan 26, 2004
Last certification
Feb 28, 2019
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Sep 24, 2002 in CA
Enrollment address
20350 Ventura Blvd
Ste 140
Woodland Hills, CA 91364-2484
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
XL Care, IncCCN 058236 · All quality measures
Overall star rating
3.5 of 5
Ownership
Proprietary
Certified
Jan 26, 2004
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2263259XL Care, Inc20350 Ventura Blvd 140, Woodland Hills, CA 91364Certificate of waiverJun 23, 2028

National Provider Directory

National Provider Directory

Locations

20350 Ventura Blvd
Ste 140
Woodland Hills, CA 91364
Phone (818) 785-2944

Ownership & related parties

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Inga Zhibkova Individual W-2 Managing EmployeeAd; Sep 30, 2002
Tsilya Bass Individual Contracted Managing Employee Dec 2, 2002
Dmitry Grinberg Individual 5% Or Greater Direct Ownership Interest Sep 24, 2002 100%
Corporate Director Dec 9, 2002

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Affiliated clinicians 5

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571616000000",
    "number": "1588655112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20350 VENTURA BLVD STE 140",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913642484",
            "telephone_number": "818-785-2944",
            "fax_number": "818-785-2956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20350 VENTURA BLVD STE 140",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913642484",
            "telephone_number": "818-785-2944",
            "fax_number": "818-785-2956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "XL CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-02",
        "last_updated": "2019-10-21",
        "status": "A",
        "authorized_official_last_name": "GRINBERG",
        "authorized_official_first_name": "DMITRTIY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "818-785-2944",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "980001478",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HHA08236F",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOME HEALTH AGENCY LICENS",
            "identifier": "980001478",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE FACILITY ID",
            "identifier": "HH980002368",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodland Hills, CA

Sources for this page

Verify at the official NPI Registry.